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General NPI Number Information
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NPI Number | 1134335201
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Entity Type | Organization
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Legal Business Name | BRAY PHARMACY INC
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 06/06/2016
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Provider Practice Location Address
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Address Line | 662 E MAIN ST
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City | FRANKFORT
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State | KY
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Zip | 40601-2338
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Country | US
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Telephone | 502-223-2827
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Fax | 502-227-2026
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Provider Business Mailing Address
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Address Line | 662 E MAIN ST
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City | FRANKFORT
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State | KY
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Zip | 40601-2338
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Country | US
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Telephone | 502-223-2827
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Fax | 502-227-2026
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Authorized Official
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Title or Position | OWNER
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Name | MR. AARON E. MCINTOSH
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Credential | PHARM.D
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Telephone | 502-223-2827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 9000882200
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License Number State | KY
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Taxonomy #2
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 1186150001
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License Number State | KY
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Taxonomy #3
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number | 9000882200
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License Number State | KY
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Taxonomy #4
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 1186150001
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License Number State | KY
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Taxonomy #5
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number | 9000882200
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License Number State | KY
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Taxonomy #6
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 1186150001
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License Number State | KY
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Taxonomy #7
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 9000882200
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License Number State | KY
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Taxonomy #8
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 1186150001
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License Number State | KY
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Taxonomy #9
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number | 9000882200
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License Number State | KY
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Taxonomy #10
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1186150001
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License Number State | KY
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